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AWAKE OR ASLEEP DBS?
- Two workflows; neither is universally superior
- AWAKE DBS
- Patient interaction
- • MER / physiology
- • Macrostimulation
- • Immediate clinical testing
- • Useful when physiology adds value
- Trade-offs
- • Patient tolerance
- • Anxiety / fatigue
- • Longer intraoperative testing
- ASLEEP DBS
- General anaesthesia
- • Image-guided targeting
- • Intraoperative CT / MRI in selected workflows
- • No mandatory clinical testing
- • Useful when imaging accuracy is strong
- Trade-offs
- • Less immediate clinical feedback
- • Greater reliance on imaging / registration
- Choose the workflow that best matches the patient, target, imaging and team expertise.
- Recent comparative literature: awake vs asleep DBS generally reports broadly comparable outcomes in selected patients.
- Dr Vikas Kathuria | MCh Neurosurgery
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13A AWAKE DBS OPERATING ROOM — INSERT AUTHENTIC IMAGE
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Image typeCase image
DescriptionAwake DBS operating room
Clinical purposeCompare authentic awake and asleep DBS workflows.
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AssociationModule 03 · Slide 13
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13B ASLEEP DBS OPERATING ROOM — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeCase image
DescriptionAsleep DBS operating room
Clinical purposeCompare authentic awake and asleep DBS workflows.
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AssociationModule 03 · Slide 13
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13C INTRAOPERATIVE CT / MRI WORKFLOW — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeCT
DescriptionIntraoperative CT / MRI workflow
Clinical purposeCompare authentic awake and asleep DBS workflows.
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AssociationModule 03 · Slide 13
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13D AWAKE MACROSTIMULATION TESTING — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeCase image
DescriptionAwake macrostimulation testing
Clinical purposeCompare authentic awake and asleep DBS workflows.
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AssociationModule 03 · Slide 13
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13E WORKFLOW COMPARISON INFOGRAPHIC — INSERT AUTHENTIC IMAGE
Real clinical image required
Image typeSchematic / diagram
DescriptionWorkflow comparison infographic
Clinical purposeCompare authentic awake and asleep DBS workflows.
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CaptionTo be written with the final image
AssociationModule 03 · Slide 13